Individual
MISS RACHEL ELIZABETH TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
201 S GARNETT RD, TULSA, OK 74128-1805
(918) 438-4257
Mailing address
4316 E 66TH ST, APT 2V, TULSA, OK 74136-1636
(918) 636-0000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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